Special Services Representative at Elevance Health

Cincinnati, Ohio, United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

Requirements

HS diploma or equivalent
Minimum of 5 years customer service experience and extensive knowledge of systems; or any combination of education and experience which would provide an equivalent background
Candidates must be within a reasonable commuting distance from the posting location(s) (e.g., New York), unless an accommodation is granted as required by law

Responsibilities

Researches and responds to written and telephone inquiries from a variety of sources (e.g., DOI, Cabinet for Health Services, Attorney General's Office, media, state/federal legislators, members, attorneys) to ensure outcomes appropriate and in accordance with contract language and regulatory requirements
Prepares written correspondence that effectively communicates the company's position and satisfies all regulatory requirements
Identifies procedural problems, issues, or trends to reduce corporate risk and improve customer service
Appears at depositions in court or at the DOI to verify the company's policies and procedures

Skills

customer service

research

written correspondence

telephone inquiries

regulatory compliance

systems knowledge

procedural analysis

risk reduction

depositions

Federal Employees Program

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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